Organization Active NPI

Frisco Center for Internal Medicine, PLLC

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1093185944
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FRISCO CENTER FOR INTERNAL MEDICINE, PLLC
Practice address
12500 Lebanon Rd Ste 103
Frisco, TX 75035-9474
Phone
(214) 297-0297
Fax
(214) 297-0298
NPI assigned
Oct 5, 2015
Last updated
Oct 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Neela Shah, MDNPI 1407809254
Title
MD, Owner, Partner
Phone
(214) 297-0297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

12500 Lebanon Rd Ste 103
Frisco, TX 75035-9474

Mailing address

9330 LBJ Fwy Ste 800
Dallas, TX 75243-4310
Phone (972) 792-5700

Other identifiers 2

IdentifierTypeStateIssuer
M2801OtherTX207R00000X
M6630OtherTX207R00000X

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160114001213 TX Part B Supplier - Clinic/Group Practice 1153624762 Receives reassigned benefits from 2 practitioners
Practice locations: Frisco, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2016506Frisco Center for Internal Medicine, PLLC12500 Lebanon Rd Suite 103, Frisco, TX 75035Certificate of waiverNov 17, 2026

National Provider Directory

National Provider Directory

Locations

12500 Lebanon Rd
Ste 103
Frisco, TX 75035
Phone (214) 297-0297

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1093185944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434310",
            "telephone_number": "972-792-5700",
            "fax_number": "214-506-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 LEBANON RD STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359474",
            "telephone_number": "214-297-0297",
            "fax_number": "214-297-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO CENTER FOR INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NEELA",
        "authorized_official_title_or_position": "MD, OWNER, PARTNER",
        "authorized_official_telephone_number": "214-297-0297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "207R00000X",
            "identifier": "M2801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "207R00000X",
            "identifier": "M6630",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.